| NPI | 1841457819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAM President 928-775-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ AZ26357) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2014-08-28 |